Symptoma

Retinoschisis

Presentation

Abstract Retinoschisis can be found in the fovea or the retinal periphery, either of which may be present in isolation, or in conjunction with each other.[onlinelibrary.wiley.com]

CONCLUSION: We present a case of atypical retinoschisis with clinical findings of retinitis pigmentosa.tinoschisis with clinical findings of retinitis pigmentosa.[cegat.de]

Peripheral bullous retinoschisis (seen in the current patient’s left eye) is present in approximately 50% of cases at presentation and may flatten spontaneously as the disease progresses. 1 The current case suggests that the likely mechanism for this[healio.com]

The retinal pigment epithelium (RPE) presents focal atrophic changes. The OCT findings of 12 year old brother show early cystoid development in the foveal center in the right eye.[iovs.arvojournals.org]

Entire Body System

History Most patients are asymptomatic and this is an incidental finding. These patients may be referred to the retinal specialist with the presumptive diagnosis of retinal detachment.[eyewiki.aao.org]

Finally, although retinoschisis causes an absolute scotoma, patients are almost invariably asymptomatic, even with very posterior retinoschisis. Treatment for these patients should be observation.[retinatoday.com]

[…] asymptomatisch) wurde bei diesen eine vollständige Augenuntersuchung durchgeführt. en In view of a 50% risk of the disorder occurring in the brothers of the affected male, they underwent full ophthalmological and electrophysiological examinations (until then asymptomatic[de.glosbe.com]

How do you manage a retinoschisis with a localised, asymptomatic macula-on retinal detachment? Scenario 2. What is your surgical approach for PSRDR in the presence of a significant cataract? Scenario 3.[nature.com]

The acquired form may occur without symptoms (asymptomatic). This disorder may lead to retinal detachment. The retinal split often extends back over the area near the center of the visual field (macula).[rarediseases.org]

First, the primary surgical goal is to close the outer wall breaks; treating inner wall breaks and collapsing the schisis cavity is optional. 14 If the schisis cavity is collapsed intraoperatively, it will likely recur postoperatively.[retinatoday.com]

This theory is also supported by the fact that transscleral cryopexy applied to the entire area of retinoschisis may cause irreversible damage to the Müller cells and therefore may result in a collapse of the schisis cavity.[slideplayer.org]

Eye Center. nd. 4pp. www.kellogg.umich.edu/patientcare/conditions/retinoschisiswhatis.html Years Published 1988, 1989, 2004 The information in NORD’s Rare Disease Database is for educational purposes only and is not intended to replace the advice of a physician[rarediseases.org]

Maculadegeneration, Blutungen und Retinoschisis unterscheidet. en The malignant melanoma has a typical dye pattern by which it is to differentiate from naevi of the choroid, retinal detachment, chorioretinitis with pigment proliferation, the senile pseudotumor[de.glosbe.com]

“Some of the children were having traction that was developing in such a way that it was actually filleting the retina in half much like you would a fish,” Dr. Lee said. “That’s an irreversible, permanent degree of damage.”[eyeworld.org]

Eyes

The retinalpigment epithelium (RPE) presents focal atrophic changes. The OCT findings of 12 year old brother show early cystoid development in the foveal center in the right eye.[iovs.arvojournals.org]

Alterations of the retinalpigment epithelium (RPE) and hemorrhages are usually absent [ 6 ]. The scotoma created by schisis cavities tends to be absolute, and RS tends to have a reaction to laser.[journalretinavitreous.biomedcentral.com]

Dilated fundus examination under anesthesia of the right eye revealed normal disk and retinal vessels, but retinalpigment epithelial mottling was identified in the macula ( Figure 1A ).[ncbi.nlm.nih.gov]

Visualimpairment is variable with best-corrected visual acuity from 20/20 to 20/600. Affected males typically have vision of 20/60 to 20/120. Visual acuity often deteriorates during the first and second decades of life.[institut-vision.org]

Treatment

Fortunately, this complication is rare, occurring in only 0.05% of patients with retinoschisis. 1 Treatment of progressive RRD associated with retinoschisis follows the same principles as treatment of any RRD, but with a few special considerations.[retinatoday.com]

People with degenerative retinoschisis usually don't need treatment.[webmd.com]

Carbonic anhydrase inhibitor sub-study Subjects with maculoschisis may be offered topical treatment with CAIs. These subjects will be asked to visit the study site at 1 month and 3 months after starting topical treatment.[clinicaltrials.gov]

Additionally, no treatment, including laser, has been shown to halt the progression of retinoschisis.[eyewiki.aao.org]

“About one out of every 100 kids can go blind from ROP despite going to the [neonatal intensive-care unit], getting screened, and getting laser treatment.[eyeworld.org]

Prognosis

Patient’s perspective Medical counselling helped me and my family members to have better understanding of the disease nature, its inheritance pattern and prognosis.[casereports.bmj.com]

There are many useful considerations and tools for evaluation and monitoring that can be used to determine the aetiology and prognosis of these retinal findings.[onlinelibrary.wiley.com]

Prognosis Visual prognosis is highly variable, depending on the XLRS phenotypic variability. With prompt identification and management of the disease, the vision could be preserved adequately.[institut-vision.org]

Prognosis The natural history is that this disease almost never progresses from where it's first observed. Most people with senile retinoschisis do well and can be followed without intervention.[eyewiki.aao.org]

Etiology

Etiology and pathogenesis The gene responsible for XLRS, RS1 (also known as XLRS1), was identified in 1997. So far, more than 160 inactivating mutations have been found.[institut-vision.org]

Epidemiology

Epidemiology, onset & clinical features Epidemiology Based on data from Finland (where the highest prevalence has been reported, due to 3 founder mutations) and The Netherlands, the prevalence is estimated to be 1 in 15,000 to 1 in 30,000.[institut-vision.org]

There is a lack of contemporary epidemiological data for PSRDR, and further studies are required.[nature.com]

Prevention

Retinal holes or tears can be treated with laser therapy or cryotherapy to prevent their progression to a full-scale detachment. Vitreous hemorrhage when not associated with retinal detachment may resolve spontaneously.[institut-vision.org]

This work was funded by the Core Grant for Vision Research (P30 EY01931), an unrestricted grant from Research to Prevent Blindness, and a Milwaukee donor fund supporting Macular Degeneration. References 1.[ncbi.nlm.nih.gov]